• Cultural Relevance in End-of-Life Care — EthnoMed
  • End of Life Care - e-Learning for Healthcare
  • End-Of-Life Care | Social Work Policy Institute

End-of-Life Care Articles. Read the latest and most popular End-of-Life Care Articles from Next Avenue.

#97381: Palliative Care and Pain Management at the End of Life

Care at the End of Life - The Dying Process - WebMD

End of Life Issues - American Nurses Association
…an ambitious goal: to help transform the experience of dying in the United States . Over the course of nine years, PDIA created funding initiatives in professional and public education, the arts and humanities, research, clinical care, and public policy. PDIA and its grantees have helped build and shape this important and growing field, and have placed improved care of the dying on the public agenda. PDIA’s report… includes specific funding recommendations that focus on areas of special opportunity where philanthropic investment at any level would make a dramatic difference in reducing suffering and allowing people to live out their lives in dignity and comfort. Over the past decade, foundations have had an enormous impact on the development of palliative and end-of-life care services in the United States . Thanks to grantmakers across the country, people with life-threatening illnesses are now more likely to be cared for by healthcare professionals—nurses, clergy, social workers, and doctors—trained in pain management, knowledgeable about advance care planning, and respectful of how religion or culture can affect a patient’s experience of illness and dying. Caregivers and patients are learning that isolation, pain, and inadequate care need not define the dying process. 3

End of life: Caring for a dying loved one - Mayo Clinic

ICU Nurses’ Perceptions and Practice of Spiritual Care at the End of Life: Implications for Policy Change
Social workers have unique, in-depth knowledge of and expertise in working with ethnic, cultural, and economic diversity; family and support networks; multidimensional symptom management; bereavement; trauma and disaster relief; interdisciplinary practice; interventions across the life cycle; and systems interventions that address the fragmentation, gaps, and insufficiency in health care. These are critical areas for implementing change in palliative and end of life care.

 

Mount Ida College – Spirituality, Bereavement & Grief Care

Relationship Between Spirituality, Meaning in Life, Psychological Distress, Wish for Hastened Death, and Their Influence on Quality of Life in Palliative Care Patients
A Qualitative Inquiry into the Psychosocial and Spiritual Well-Being of Older Adults at the End of Life.
Doctoral Dissertation. University of Kansas , PhD, Aug. 2002.
A qualitative study based on interviews with 16 terminally ill older adults with a high level of quality of life and their caregivers was conducted to examine the meaning of psychosocial and spiritual well-being during the final months and the process to attain it. Six primary contributing components to their psychosocial and spiritual well-being were identified: (1) a sense that life has been complete and fulfilling, (2) a comforting physical environment, (3) meaningful relationships, (4) pursuing activities of interest, (5) spiritual transcendence, and (6) hopes for the future. The findings highlight different ways that these elders grounded their resiliency: confrontation with mortality, relationships with others, environmental resources, creation of life narratives, balanced perspectives of their illnesses, and spirituality. The author urges the profession to envision social work with terminally ill older adults beyond a viewpoint of coping and adaptation. Implications link the re-conceptualization of quality of life and identified areas of resiliency.


Complexity of Decision-Making in a Nursing Home: The Impact of Advance Directives on End-of-Life Care
Osman, H. & Becker, M. A. (2003). Journal of Gerontological Social Work, 42 (1), 27.
Since the Patient Self-Determination Act became law in 1991, nursing homes routinely address advance directives with all residents. This study investigated the implementation of end-of-life care wishes of residents in one nursing home in Florida . Data were collected from the medical records of residents who died in the facility (n = 75) in one year. Two-thirds of the residents had either completed a living will or designated a health care decision-maker, and 90.7 percent of the residents had do-not-resuscitate orders. Findings suggest that in 94 percent of the cases advance directives were followed, and that professional social work activities contributed to the high rate of compliance.


Non-denominational – Spirituality, Bereavement & Grief Care

This resource has been developed using information from the 2014 RCN End of Life care survey which showed that staff wanted more education and information around caring for people at the end of life. In addition the resource was informed by an independent review of evidence relating to nutrition and hydration at the end of life and expert opinion. The same issues relating to poor care at the end of life were also identified in the recent Parliamentary and Health Service Ombudsman report, Dying without dignity (2015).

Spirituality, Bereavement & Grief Care

Within End of Life care there are few areas that are as medically, ethically, and culturally complex as providing hydration and nutrition to a patient.

Chaplain Harold and Commentary on Suffering, Bereavement, and Grief.

End of life care is support for people who are approaching death. It helps them to live as well as possible until they die, and to die with dignity. It also includes support for their family or carers.

Evolution of medical ethics in resuscitation and end of life

Every year more than half a million people die in the United Kingdom, and most of these deaths occur in hospitals. While some deaths occur suddenly, the majority of deaths occur after a period of chronic illness. During this time people often require ongoing care which may include end of life care.